Active NPI
Kyle M Hawkins, PA-C
- Physician Assistant
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 097575
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-2421
- Fax
- (319) 356-3900
- NPI assigned
- Jun 13, 2019
- Last updated
- Sep 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 097575 | IA | Primary |
| Medical Physician Assistant | 363AM0700X | 097575 | IA | |
| Surgical Physician Assistant | 363AS0400X | 097575 | IA |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
PO Box 527
Brooklyn, IA 52211-0527
Phone (641) 990-9855
Other practice location 1
128 Jackson St
Brooklyn, IA 52211-7711
Phone (641) 522-7221
Other practice location 2
105 E 9th St
Coralville, IA 52241-2209
Phone (855) 467-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marengo Memorial Hospital
Practice addresses (Care Compare)
300 W May St
Marengo, IA 52301-1261
Phone 31964255438068
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097575 | IA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Brian J. Heineman, D.O. | Past | Accepting new patients | |
| Marengo Memorial Hospital | Physician Assistant | Past | Accepting new patients |
Locations
300 W May St
Marengo, IA 52301
Phone (319) 462-8011
Interoperability endpoints
- khawkins179564@uihcdirect.org
- khawkins644089@direct.unitypoint.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent Medicine (Family Medicine) Physician
- Brooklyn, IA
- NPI 1548341035
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Brooklyn Medical Clinic
- Family Medicine Physician
- Brooklyn, IA
- NPI 1538297940
-
dba Brooklyn Family Medical Clinic
- Rural Health Clinic/Center
- Brooklyn, IA
- NPI 1861329203
Physician Assistant
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Des Moines, IA
- NPI 1194753863
-
dba Brooklyn Community Estates
- Skilled Nursing Facility
- Brooklyn, IA
- NPI 1164416905
Nursing home
-
dba Unitypoint Health - Grinnell Regional Medical Center
- General Acute Care Hospital
- Grinnell, IA
- NPI 1669420501
-
dba Compass Memorial Healthcare
- Critical Access Hospital
- Marengo, IA
- NPI 1053368191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1396304267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 527",
"city": "BROOKLYN",
"state": "IA",
"postal_code": "522110527",
"telephone_number": "641-990-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2421",
"fax_number": "319-356-3900"
}
],
"practiceLocations": [
{
"address_1": "128 Jackson St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "IA",
"postal_code": "522117711",
"country_code": "US",
"telephone_number": "641-522-7221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 E 9th St",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522412209",
"country_code": "US",
"telephone_number": "855-467-3700",
"fax_number": "319-467-2410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKINS",
"first_name": "KYLE",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-13",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "097575",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "097575",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IA",
"license": "097575",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.